MARY A CLARK Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146002731

License Status

INACTIVE

Business

First Name

MARY A

Last Name

CLARK

Business Name

MARY A CLARK

Original Issue Date

09/12/1989

Effective Date

11/01/2011

Expiration Date

10/31/2013

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/07/2013